MR. TREVOR NATHANIEL ELLER (NPI# 1639738164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639738164 |
| Entity Type | Individual |
| Full Name | MR. TREVOR NATHANIEL ELLER |
| Credential | LMT |
| Practice Address |
2020 Hogback Rd Ste 8 Ann Arbor MI 48105-9752 |
| Mailing Address |
304 E Forest Ave Ypsilanti MI 48198-3018 |
| Practice Telephone | 7342498998 |
| Mailing Telephone | 7343328880 |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2019-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 75010000149 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2020 HOGBACK RD STE 8 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730735341 | Miriam Joy Dowd-eller | Massage Therapist | 2020 Hogback Rd Ste 8, Ann Arbor, MI 48105-9752 | 2019-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467065201 | Ztaise Bradley | Massage Therapist | 8 Lucerne Ct, Ann Arbor, MI 48108-2529 | 2020-08-30 |
| 1972137198 | Zeena Monasa | Massage Therapist | 2330 E Stadium Blvd Ste 3, Ann Arbor, MI 48104-4820 | 2020-02-26 |
| 1891336087 | Douglas Trudeau | Massage Therapist | 2730 Carpenter Rd Ste 2, Ann Arbor, MI 48108-4101 | 2019-09-30 |
| 1730670308 | Erika Danielle Hampton | Massage Therapist | 2020 Hogback Rd Ste 6, Ann Arbor, MI 48105-9752 | 2018-05-19 |
| 1619473881 | Michelle L Chaves-torres | Massage Therapist | 1217 Addington Ln, Ann Arbor, MI 48108-8960 | 2018-04-04 |
| 1992239602 | Julie Mcgrath | Massage Therapist | 905 W Eisenhower Cir Ste 108, Ann Arbor, MI 48103-6400 | 2017-04-19 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| 1336596956 | Mark C Ford | Massage Therapist | 2301 S Huron Pkwy Ste 1c, Ann Arbor, MI 48104-5133 | 2016-05-24 |
| 1295198059 | Ling Zhang | Massage Therapist | 258 Village Green Blvd Apt 205, Ann Arbor, MI 48105-3606 | 2016-03-30 |
| 1457712341 | Stacy Dobreff | Massage Therapist | 2350 Washtenaw Ave Ste 14, Ann Arbor, MI 48104-4524 | 2016-03-19 |
| Find all providers in ANN ARBOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.